Organization Active NPI

St Augustine Physicians Associates Inc.

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1134312325
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2385 Issued in FL
Legal business name
ST AUGUSTINE PHYSICIANS ASSOCIATES INC.
Doing business as
Monahan Chiropractic
Practice address
419 Anastasia Blvd
St Augustine, FL 32080-4508
Phone
(904) 824-8353
Fax
(904) 824-5705
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Clark Monahan, D.C.NPI 1982622593
Title
President
Phone
(904) 824-8353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH2385 FL Primary

Addresses

Primary practice location

419 Anastasia Blvd
St Augustine, FL 32080-4508

Mailing address

419 Anastasia Blvd
St Augustine, FL 32080-4508
Phone (904) 824-8353

Other names 1

  • Monahan Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Monahan Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1134312325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ANASTASIA BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804508",
            "telephone_number": "904-824-8353",
            "fax_number": "904-824-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ANASTASIA BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804508",
            "telephone_number": "904-824-8353",
            "fax_number": "904-824-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE PHYSICIANS ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-824-8353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monahan Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.